Healthcare Provider Details
I. General information
NPI: 1003618018
Provider Name (Legal Business Name): BAY AREA VIP INTERVENTIONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16400 LARK AVE STE 125
LOS GATOS CA
95032-2547
US
IV. Provider business mailing address
PO BOX 8378
PASADENA CA
91109-8378
US
V. Phone/Fax
- Phone: 408-371-0390
- Fax: 408-796-7787
- Phone: 408-371-0390
- Fax: 408-796-7787
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANUP
KUMAR
SINGH
Title or Position: PHYSICIAN/PRESIDENT
Credential: MD
Phone: 408-371-0390